Active NPI
Vivian Chen, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jersey City, NJ
National Provider Identifier
1508691833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI03060300
- Practice address
- 343 Central Ave
Jersey City, NJ 07307-2991 - Phone
- (201) 975-4300
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI03060300 | NJ | Primary |
Addresses
Primary practice location
343 Central Ave
Jersey City, NJ 07307-2991
Mailing address
17646 Marylbrook Dr
Lake Oswego, OR 97034-4001
Phone (503) 887-1103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03060300 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Trulby, DDS, LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Ryan Trulby, DDS, LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jersey City, NJ
- NPI 1780495770
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jersey City, NJ
- NPI 1922819911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1508691833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17646 MARYLBROOK DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970344001",
"telephone_number": "503-887-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072991",
"telephone_number": "201-975-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "VIVIAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI03060300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.